A clinical study of HELLP syndrome and its outcome in a tertiary health care system

Authors

  • Ashwini Mallesara Department of Obstetrics and Gynecology, Shivamogga Institute of Medical Sciences, Shivamogga, Karnataka, India
  • Srushti R. Kanta Department of Obstetrics and Gynecology, Shivamogga Institute of Medical Sciences, Shivamogga, Karnataka, India
  • Prashanth Shivappa Department of Obstetrics and Gynecology, Shivamogga Institute of Medical Sciences, Shivamogga, Karnataka, India

DOI:

https://doi.org/10.18203/2320-1770.ijrcog20164064

Keywords:

HELLP Syndrome, Hemolysis, Liver Enzyme, Platelets

Abstract

Background: The objective was to study the cases of HELLP syndrome and its management and outcome in a tertiary health care system.

Methods: Three Hundred Twenty patients with gestational age >20 weeks were selected whose BP recorded more than 140/90 mm Hg. This study was done from July 2014 to July 2016. Required laboratory investigations were carried out and the outcome was studied with respect to maternal and fetal outcome.

Results: The association with HELLP/ Partial HELLP was not significantly associated with the parity and the family history. There was a strong association of HELLP/ Partial HELLP with Pre eclampsia and all the three tests (hemolysis, liver enzymes, platelet count) that was considered to be the gold standard tests to identify the pathology.

Conclusions: The association points towards only one point, that is to identify and treat the patients immediately in order to reduce maternal and neonatal morbidity and mortality.

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Published

2016-12-07

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Section

Original Research Articles